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Detailed Specialist Consultation

Missouri rates for HCPCS 99244

This office visit covers a thorough consultation with a specialist, called in by another doctor to evaluate a specific problem and give an opinion or recommendation back to the referring provider. It involves a detailed history, a comprehensive examination, and decision-making of moderate complexity. A written report is typically sent back to the doctor who requested the opinion.

Rates data updated July 2026.

Facilitymedian $209 · 10th–90th $135$3240%10%10th90th$209Professionalmedian $162 · 10th–90th $110$3160%10%10th90th$162$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$309.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$138.04
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$288.40